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Soviet Health Care In America

The proof is in the pudding. If the health care sector in this country were driven by market forces it would be at the forefront of adopting information technology. But it is dead last. Even the pizza industry, especially the pizza industry, is ahead of it in that adoption race.

Health care reform in this country has to be about introducing market forces into the sector. Costs have to be brought down for all participants.

Expanding insurance coverage has to start with children. Once you can make sure it is there for all children, and while you work it, there will open up ways to see how it can also be expanded among the adult population.

There are many ideas out there, many good ideas. The sector is such a huge chunk of the economy, any reform effort necessarily has to be a rather large conversation. A large, inclusive conversation that is also near transparent, that is the model I have in mind.

The last good effort was Hillary's but it did not fare well on the transparency part. She also drew a lot of flak as a woman steering policy. So a political fight against sexism has to be part of health care reform. And Bill Clinton was not sufficiently invested. For a president this has to be top priority.

And of course a culture shift from an illness-focus to a wellness-focus.